Individual provider Active NPI

Beaux Baggesen-Jensen, PMHNP-BC, ARNP, MSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1932337946
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60763388 Issued in WA
Practice address
5109 NE 82ND Ave Ste 215
Vancouver, WA 98662-6841
Phone
(866) 657-6592
Fax
(619) 383-6701
NPI assigned
Jun 29, 2009
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60763388 WA Primary

Addresses

Primary practice location

5109 NE 82ND Ave Ste 215
Vancouver, WA 98662-6841

Mailing address

5109 NE 82ND Ave Ste 215
Vancouver, WA 98662-6841
Phone (866) 657-6592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190604002431 WA Practitioner - Nurse Practitioner 5395078471 Reassigns benefits to 2 organizations
I20230321002945 OR Practitioner - Nurse Practitioner 5395078471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

4800 S Macadam Ave
Suite 230
Portland, OR 97239-3927
Phone (877) 840-6956

5109 NE 82ND Ave
Suite 215
Vancouver, WA 98662-6841
Phone (877) 840-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Psychiatric/Mental Health CurrentSince Apr 1, 2023 Accepting new patients
Headlight Health Medical Group PLLC Psychiatric/Mental Health CurrentSince Feb 25, 2026 Accepting new patients

Locations

1827 NE 44th Ave
Ste 310
Portland, OR 97213
Phone (503) 298-4592

4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592

700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559

5109 NE 82nd Ave
Ste 215
Vancouver, WA 98662
Phone (832) 840-1604

Interoperability endpoints

  • Direct secure messaging: beaux.baggesenjensen.p1@direct.sokya.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1932337946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 NE 82ND AVE STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626841",
            "telephone_number": "866-657-6592",
            "fax_number": "619-383-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 NE 82ND AVE STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626841",
            "telephone_number": "866-657-6592",
            "fax_number": "619-383-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGESEN-JENSEN",
        "first_name": "BEAUX",
        "credential": "PMHNP-BC, ARNP, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-05-09",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60763388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.